Septic arthritis of the native joint and after ligamentoplasty Diagnosis and treatment

被引:0
作者
Margaryan, D. [1 ]
Renz, N. [2 ]
Gwinner, C. [2 ]
Trampuz, A. [2 ]
机构
[1] Charite Univ Med Berlin, Ctr Muskuloskeletale Chirurg, Campus Virchow Klinikum, Augustenburger Pl 1, D-13353 Berlin, Germany
[2] Charite Univ Med Berlin, Ctr Muskuloskeletale Chirurg, Berlin, Germany
来源
ORTHOPADE | 2020年 / 49卷 / 08期
关键词
Antibiotics; Bacterial arthritis; Ligaments; Inflammation; Synovial fluid; CLINICAL-FEATURES; RECONSTRUCTION; ARTHROSCOPY; KNEE;
D O I
10.1007/s00132-020-03961-1
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background Septic arthritis is an acute emergency. It occurs more frequently in patients with pre-existing degenerative or chronic inflammatory joint diseases than in the general population. The causative microorganisms can be introduced in various ways. Diagnostics A rapid diagnosis is of great importance for the success of the therapy. In the clinical examination, the typical signs of inflammation are noticeable. The gold standard is the aspiration of synovial fluid and the subsequent laboratory and microbiological investigation. Therapy A prerequisite for successful therapy is the early initiation of an antimicrobial pathogen-specific treatment and the surgical alleviation of the joint.
引用
收藏
页码:660 / 668
页数:9
相关论文
共 23 条
[1]   SEPTIC ARTHRITIS FOLLOWING ARTHROSCOPY - CLINICAL SYNDROMES AND ANALYSIS OF RISK-FACTORS [J].
ARMSTRONG, RW ;
BOLDING, F ;
JOSEPH, R .
ARTHROSCOPY, 1992, 8 (02) :213-223
[2]   Management of Septic Arthritis Following Anterior Cruciate Ligament Reconstruction: A Review of Current Practices and Recommendations [J].
Cadet, Edwin R. ;
Makhni, Eric C. ;
Mehran, Nima ;
Schulz, Brian M. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2013, 21 (11) :647-656
[3]   Injectable corticosteroids in modern practice [J].
Cole, BJ ;
Schumacher, HR .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2005, 13 (01) :37-46
[4]   Septic arthritis in Iceland 1990-2002:: increasing incidence due to iatrogenic infections [J].
Geirsson, A. J. ;
Statkevicius, S. ;
Vikingsson, A. .
ANNALS OF THE RHEUMATIC DISEASES, 2008, 67 (05) :638-643
[5]   Septic arthritis [J].
Goldenberg, DL .
LANCET, 1998, 351 (9097) :197-202
[6]   Prospective comparative study of patients with culture proven and high suspicion of adult onset septic arthritis [J].
Gupta, MN ;
Sturrock, RD ;
Field, M .
ANNALS OF THE RHEUMATIC DISEASES, 2003, 62 (04) :327-331
[7]  
Horowitz DL, 2011, AM FAM PHYSICIAN, V84, P653
[8]   Incidence and sources of native and prosthetic joint infection: a community based prospective survey [J].
Kaandorp, CJE ;
Dinant, HJ ;
vandeLaar, MAFJ ;
Moens, HJB ;
Prins, APA ;
Dijkmans, BAC .
ANNALS OF THE RHEUMATIC DISEASES, 1997, 56 (08) :470-475
[9]   Does this adult patient have septic arthritis? [J].
Margaretten, Mary E. ;
Kohlwes, Jeffrey ;
Moore, Dan ;
Bent, Stephen .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 297 (13) :1478-1488
[10]   Bacterial septic arthritis in adults [J].
Mathews, Catherine J. ;
Weston, Vivienne C. ;
Jones, Adrian ;
Field, Max ;
Coakley, Gerald .
LANCET, 2010, 375 (9717) :846-855